Application Form for Eligibility (Technical Requirements)

Application Form for Eligibility (Technical Requirements)

[month] [date], 2012

Company name:

Please fill in the entry for each of the following items concerning the facts defined in the technical requirements for eligibility (section3.7.1 of the Guidelines). This application form will be checked in the eligibility review.

------Entry fields (add lines and/oradjust the width of lines if necessary)------

・Please fill in the following table of the country name, industry, subject, reason for pertinence, period, and scale (total cost) which your organization conducted recently that is pertinent to the technical requirements, concerning “have the ability to plan and conduct large scale project as indicated in section 3.4.” In addition, please attach documentsof the outline and scale of the project.

Country name / industry / Subject / reason for pertinence / Period
(YYYY/MM - YYYY/MM) / Scale
(total cost: ¥xxx,xxx,xxx)

・Concerning the requirement of “Meet one of the following terms of (1)--(3)

(1)Acquired CMMI Level 3, and the certification is effective

(2)Acquired ISO 9001 Certification and is still effective

(3)Have experience in building a large-scale communication system for smart meters in Japan or overseas”

please attach copies of the certificates that are meeting the conditions of the above (1) or (2). If the condition of the above (3) applies, describe in the following table the country name, subject, reason for pertinence, period, and scale (total cost) concerning your most recent experience that is pertinent to the technical requirements, andattach documents with outline and scale of the project.

Country name / Subject / reason for pertinence / Period
(YYYY/MM - YYYY/MM) / Scale
(total cost: ¥xxx,xxx,xxx)

・Concerning the requirement of “acquired ISO27001/ISMScertification or have established equivalentinformation security management system,”attach a copy of ISO27001/ISMS certificate or attach documents which explainthe content for the latter condition of equivalent information security system.

・Concerningthe requirement of “set up a structure for responding inquiries within a day in Japanese from TEPCO’s employees, etc. in case of failure or defect, and the structure has a sufficient technical level in order to support TEPCO’s employees etc.”attach documents whichexplainthe content of the technical requirement.